This section of our website is dedicated to supporting Health Plan of San Joaquin providers with valuable tools and resources. Please click here if you are looking for Provider Policies documents.

Prior Authorization

Prior Authorization may be requested by telephone to Utilization Management Department at 209-942-6350, fax to 209-762-4702 (San Joaquin County), or 209-762-4703 (Stanislaus County), mail or electronic submission.

Provider Portal

HPSJ’s New Electronic Medical Management System – (the Enhanced DRE provider Portal)


EDI Companion Guides

Preventive Health Guidelines

Behavioral Health Care Services

Beacon PCP Toolkit

Pharmacy Tools & Resources

Advance Directive Forms

(For Members) A copy of an Advance Directive form can be found below. After a patient/member fills it out, a copy can be given to the doctor and a family member. 

Provider Dispute Resolution Forms

Non-contracted providers Only – If you are looking for Provider Dispute Resolution forms, please click here.

Posted on June 17th, 2015 and last modified on April 26th, 2022.